| NPI | 1427500859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT JAMISON RISING Owner 701-799-6453 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NE 6812) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |